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Histopathological Aspects of Pelviscopic Hysterectomy

 

作者: Jutta Elisabeth Lüttges,   Enrique Lehmann-Willenbrook,   Kurt Semm,  

 

期刊: Gynecologic and Obstetric Investigation  (Karger Available online 1994)
卷期: Volume 37, issue 2  

页码: 118-122

 

ISSN:0378-7346

 

年代: 1994

 

DOI:10.1159/000292538

 

出版商: S. Karger AG

 

关键词: Pelviscopic hysterectomy;Pelvic floor integrity;Cervical mucosa resection;Histopathology

 

数据来源: Karger

 

摘要:

The present study attempts to confirm the effectiveness of a new method of pelviscopic hysterectomy which maintains the pelvic floor integrity comparable to that in a supracervical uterus amputation. A major advantage of this procedure is that the central portion of the cervix and transformation zone is punched out using a special resection tool for the purpose of removing any potential source of cancer. Thirty-four specimens resected by pelviscopic hysterectomy were investigated using histological giant and serial sections. Morphometrical analysis was performed using MOP-AM02 (Kontron Instruments). The transitional zone and cervical glands were excised completely with an average security distance of 1.5 cm to the resection margins. No mesonephric remnants were found which might serve as a possible source of adenocarcinoma. Our study confirms that the application of this new technique of pelviscopic hysterectomy is not limited by the development of stump carcinoma while also possessing the additional advantage of maintaining pelvic floor integrity.

 

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